STD or HPV. Not? and which strain it is?

First, try not to panic. Based on your history, there are two separate issues here: HIV concern The penile bumps 1. HIV You mentioned: You consistently use condoms. Your recent exposure was protected. Your HIV ELISA at 6 weeks is negative. Previous HIV tests have also been negative. This is very reassuring. A correctly used condom makes the risk of HIV transmission very low. A negative HIV test at 6 weeks is encouraging, and if it was a 4th-generation laboratory test, it is highly reassuring. Follow the testing schedule recommended by your treating doctor if any further testing is advised, but based on what you've described, HIV is very unlikely to explain your current bumps. 2. Are the bumps HPV or molluscum? Unfortunately, it is not possible to diagnose these lesions with certainty from the description alone. Both conditions can look similar: Molluscum contagiosum Smooth, round, dome-shaped bumps. Often have a tiny central dimple (umbilication). Caused by a poxvirus. Usually completely curable with removal or may resolve on their own. Genital warts (HPV) Soft, skin-colored growths. May be flat or cauliflower-like. Caused by HPV. The visible warts are treatable, but the virus itself may remain in the skin for some time before the immune system suppresses it. A dermatologist or urologist can often distinguish them by examination. If there is doubt, a biopsy of one lesion is the most reliable way to establish the diagnosis. Is there an HPV test for men? Routine HPV testing for men is not recommended or widely available. Currently: There is no FDA-approved or routinely recommended HPV screening test for men equivalent to the cervical HPV test used in women. Blood tests cannot tell whether you have genital HPV. HPV DNA tests are mainly used for cervical screening in women, not for diagnosing visible penile lesions in men. Therefore, the diagnosis in men is usually made by clinical examination, and occasionally by biopsy if the diagnosis is uncertain. Can you find out which HPV strain you have? Usually, no. For most men with genital warts, identifying the exact HPV type does not change treatment, so routine strain typing is not recommended. Most visible genital warts are caused by HPV types 6 and 11, which are low-risk types and are not the types commonly associated with penile or cervical cancer. What about the burning sensation and testicular discomfort? These symptoms are not typical of HPV or molluscum. They could be due to: Mild urethritis. Prostatitis. Epididymal irritation. Pelvic floor muscle tension. Less commonly, another STI. If burning persists, you should discuss urine testing and STI testing (such as gonorrhea and chlamydia NAAT) with your doctor, especially if there was any exposure risk.

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Avoid shaving or picking the lesions. Use condoms, although they reduce rather than completely eliminate HPV transmission. If you have not already received the HPV vaccine, discuss vaccination with your doctor—it can still provide protection against HPV types you have not yet encountered. Thank you